The Detection of Malingered Psychosis

This program is designed to give mental health clinicians practical information about the detection of malingering and lying. The latest research on malingered hallucinations will be covered. Psychotic hallucinations will be distinguished from non-psychotic hallucinations. Suspect auditory hallucinations are less likely to be associated with delusions. Persons faking auditory hallucinations may say they have no strategies to diminish malevolent voices and claim that all command hallucinations must be obeyed. Malingerers are more likely to report extreme severity and intensity of their hallucinations. Suspect visual hallucinations are more likely to be reported in black and white rather than in color, be dramatic and more likely to include miniature or giant figures. Resolution of genuine hallucinations and delusions with anti-psychotic treatment will be delineated. Participants will learn twelve clues to detect malingered psychosis and four clues to detect malingered insanity. Videotapes of defendants describing hallucinations will enable participants to assess their skills in distinguishing between true and feigned hallucinations.
Workshop Content:What motivates people to malinger?
Evidence based clues to lying
Common errors in lie detection
The role of inconsistency
Clues to malingered psychosis
Phenomenology of genuine hallucinations
Characteristics of command hallucinations
The nature of hallucinatory questions
Strategies to cope with hallucinations
Patterns of atypical hallucinations
Approaches to detecting faked insanity defenses

https://www.specializedtraining.com/p-1193-the-detection-of-malingered-psychosis-virtual-dec-3-2021.aspx

Emotional Incontinence

Pseudobulbar affect
Other namesEmotional incontinence

Pseudobulbar affect (PBA), or emotional incontinence, is a type of emotional disturbance characterized by uncontrollable episodes of crying, laughinganger or other emotional displays. PBA occurs secondary to a neurologic disorder or brain injury. Patients may find themselves crying uncontrollably at something that is only moderately sad, being unable to stop themselves for several minutes. Episodes may also be mood-incongruent: a patient may laugh uncontrollably when angry or frustrated, for example. Sometimes, the episodes may switch between emotional states, resulting in the patient crying uncontrollably before dissolving into fits of laughter.

The pseudobulbar affect, also referred to as emotional lability, should not be confused with labile mood or labile emotions that stem from emotional instability – affective dysregulation – commonly seen in personality disorders.

Arthur Fleck, the central character of the 2019 film Joker, displays signs of pseudobulbar affect,[53] which are said to be what Joaquin Phoenix used as inspiration for his character’s signature laugh.

In the 2019 movie Parasite, the character Ki-woo suffers head trauma, and although it is not clearly mentioned that he’s affected by pseudobulbar affect, he mentions not being able to stop laughing when thinking about all the events that occur in the movie.

In the medical television show House, season 7, episode 8 (Small Sacrifices), the character Ramon Silva, played by Kuno Becker displays pseudobulbar affect, with uncontrollable incongruent laughter, while suffering from Marburg variety of Multiple sclerosis.

In season 3, episode 9 of The Good Fight, the character Brenda DeCarlo, an external auditor, displays pseudobulbar affect, with uncontrollable incongruent laughter.

https://en.wikipedia.org/wiki/Pseudobulbar_affect

Differences between psychopathy and other personality disorders: evidence from neuroimaging

ICD-10 and DSM-IV-TR diagnostic guidelines do not list psychopathy as a distinct psychiatric entity. However, there are significant overlaps between psychopathy and DSM-IV-TR Cluster B personality disorders. Neuroimaging studies implicate deficits in structure and function of frontal and limbic regions in this group of personality disorders, while highlighting both distinctions and overlaps between syndromes. Here, these data are reviewed and implications for diagnosis and clinical practice are discussed.

https://www.cambridge.org/core/journals/advances-in-psychiatric-treatment/article/differences-between-psychopathy-and-other-personality-disorders-evidence-from-neuroimaging/071D3A2CF415A5965C54CCD36A7791EF

What counts as antisocial behaviour

Antisocial behaviour includes things like:

  • racist or homophobic abuse
  • causing a nuisance to your neighbours
  • threatening your landlord’s staff or contractors
  • using your home for illegal purposes, such as drug dealing
  • a criminal conviction for a serious offence
  • breaching a criminal behaviour order

Guests can also put your tenancy at risk if they behave in an antisocial way when they visit.

https://england.shelter.org.uk/housing_advice/eviction/council_and_housing_association_tenants_eviction_for_antisocial_behaviour

Can a tenant be evicted for anti-social Behaviour?

The court will probably make an eviction order if the antisocial behaviour is very serious and ongoing, or if a criminal offence has been committed.

https://england.shelter.org.uk/housing_advice/eviction/council_and_housing_association_tenants_eviction_for_antisocial_behaviour

Parenting practices and problem behavior across three generations

Using data from grandparents (G1), parents (G2), and children (G3), this study examined continuity in parental monitoring, harsh discipline, and child externalizing behavior across generations, and the contribution of parenting practices and parental drug use to intergenerational continuity in child externalizing behavior. Structural equation and path modeling of prospective, longitudinal data from 808 G2 participants, their G1 parents, and their school-age G3 children (n = 136) showed that parental monitoring and harsh discipline demonstrated continuity from G1 to G2. Externalizing behavior demonstrated continuity from G2 to G3. Continuity in parenting practices did not explain the intergenerational continuity in externalizing behavior. Rather, G2 adolescent externalizing behavior predicted their adult substance use, which was associated with G3 externalizing behavior. A small indirect effect of G1 harsh parenting on G3 was observed. Interparental abuse and socidemographic risk were included as controls but did not explain the intergenerational transmission of externalizing behavior. Results highlight the need for preventive interventions aimed at breaking intergenerational cycles in poor parenting practices. More research is required to identify parental mechanisms influencing the continuity of externalizing behavior across generations.

https://pubmed.ncbi.nlm.nih.gov/19702387/

Family interventions in psychosis

Guidelines for psychologists and practitioners supporting families and social networks.

These guidelines provide an overview of the current state of practice and knowledge regarding family interventions in psychosis and provide a guide for psychologists and other family work practitioners, regarding how to support and deliver these family interventions in services.

Providing family interventions and support for families is essential for good practice and good outcomes for service users and their families.

https://www.bps.org.uk/news-and-policy/family-interventions-psychosis

Psychopathic traits and deception

Mean response times were greater for the lie than truth condition. Lie responses resulted in enhanced activation of the ventrolateral prefrontal cortex. The PPI sub-scales, coldheartedness, fearlessness, Machiavellian egocentricity, social potency and stress immunity were found to be correlated with activation patterns in the brain circuitry implicated in both deception and related processes such as behavioural restraint and social cognition.

The British Journal of Psychiatry , Volume 194 , Issue 3 , March 2009 , pp. 229 – 235DOI: https://doi.org/10.1192/bjp.bp.108.053199

Continue reading “Psychopathic traits and deception”

7 Low-Key Signs You’re Dealing With An Actually Dangerous Person

Truth is, most dangerous people we meet aren’t serial killers. They are your average Joes (sorry to all the people named Joe out there) who *seem* okay for a while, then come at you with such cruelty that you’re like who the heck is this, and how did I not see this before?

If we’re being real honest, though, there were things. Little things.

Little things here and there that didn’t quite sit right. A weird look. A bizarre response to something someone else said. A visceral feeling to not disclose completely. Little subtleties that (should have) clued us in that something’s not quite right. That trouble is ahead.

And then sh*t hits the fan and our subconscious is like Yep. Saw that coming a yardstick away.

Because not every foe comes at us with a pitchfork. Because real danger is an iceberg; barely visible on the horizon, the true horror buried much deeper. Because we can’t see a wolf’s teeth until it growls.

Sadists and psychopaths

Someone who gets pleasure from hurting or humiliating others is a sadist. Sadists feel other people’s pain more than is normal. And they enjoy it. At least, they do until it is over, when they may feel bad.

The popular imagination associates sadism with torturers and murderers. Yet there is also the less extreme, but more widespread, phenomenon of everyday sadism.

Everyday sadists get pleasure from hurting others or watching their suffering. They are likely to enjoy gory films, find fights exciting and torture interesting. They are rare, but not rare enough. Around 6% of undergraduate students admit getting pleasure from hurting others.

The everyday sadist may be an internet troll or a school bully. In online role-playing games, they are likely to be the “griefer” who spoils the game for others. Everyday sadists are drawn to violent computer games. And the more they play, the more sadistic they become.